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New Hampshire rates for HCPCS 64857

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/O Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,341.64 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.34 / $1,235.02 / $1,515.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.65 / $1,769.69 / $2,727.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.76 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.74 / $1,827.55 / $2,898.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.44 / $1,930.07 / $3,631.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.44 / $1,560.69 / $3,057.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.61 / $996.73 / $1,573.18